BetterMeCourtney

Diana, I agree. I will try and call tomorrow (not sure how much luck I'll have since it will be the weekend), and hopefully I'll get someone other than who I spoke to today. I also called the True Results center today but only got an answering machine. The sheet they gave me at my first appointment listed the requirements I would need to fulfill before my surgery, but I'm wondering if it was based upon my estimated BMI I gave them when making the appointment. I thought I would be at 38. :blushing: I'll keep you updated on what I find out. I'm sure they shouldn't be making me do the 3 months... The more I read the benefits, the more I believe this is true. Someone.. somewhere along the way is confused, lol and they're trying to take me with them. :laugh:

Diana, thanks for the info. I am actually right at 40 bmi. I'm 40.3 to be exact, which makes this situation rather frustrating since if I dip below 40, I won't be covered- I do not have any other issues. I even dressed rather heavily at my first appointment, heavy jeans and two sweaters, LOL, to make it above that.. The nurse even told me that even though they have to do the formality of the appointments, I really don't need to diet or try to lose during this time. I'm a little freaked out that I'm having to keep a food journal, yet if I lose ANYTHING I won't be covered. lol. :closedeyes: Although I must admit that for the first time in my life I'm not watching what I'm eating, and the fact that I have been told NOT to lose is a little bit liberating. LOL. I can't remember the last time I wasn't ransacked with guilt for eating something like a PB&J. Oh the carbs! :w00t: I was told the copay for an outpatient surgery such as this is $100 for each qualified surgeon in the room. I am assuming I will just have one. That should be it. The only stipulation is the surgeon has to be within the basic network. No issue there. Thanks again for responding. I'm glad to have found this resource to help guide me along the way.

an update on my end- I just spoke with a really nice rep from BCBS. I told her about the discrepancies between what the clinic was telling me vs what other FEP patients were experiencing. She stated that they do require 3 months of medically supervised weight consultations in the last 2 years. So, in my case, since I have not had anything like that in the last 2 years, I am being required to wait the three months and go to their appointments. However, if you had 3 months of supervised care in the last 2 years then that qualification should already be met. oh, and we're on the basic plan.. not sure if that matters.

Yay! I look forward to seeing your progress and more updates!

Wow.. interesting. We're covered by BCBS Fed. I was also told I needed the 3 months of supervised weight loss. I would much rather not do that if I don't have to.

I am new to this community. I am 26 and live in the Houston area. I just had my first appointment at a lapband facility. If everything goes as planned then I should be looking at getting the band in Jan. I hope to learn a lot from this forum! Thanks!